A Rural Primary Care Provider Adherence to the ADA Guideline for Frequency of A1c Testing

Research Paper (undergraduate) from the year 2017 in the subject Nursing / Foster Care Management / Social Services, grade: 58.00, , language: English, abstract: The purpose of this scholarly project is to examine the effects of motivational interviewing (MI), on T2DM patient adherence to A1c testing. The overarching research question for this scholarly project is as follows: In adult patients (18 years and older) with T2DM located in a southern Mississippi outpatient setting, what are the effects (if any) of motivational interviewing on patients' adherence to recommended A1c testing? Diabetes mellitus (DM) is worldwide epidemic and is the leading cause of poor health, physical disabilities and premature death. Globally, 422 million people were diagnosed with diabetes in 2014, and over 1.5 million people died from diabetes-related complications (World Health Organization, 2016). In the United States (U.S.), diabetes was the cause of over 74.9 thousand deaths and 1.85 million disability years lived in 2013. The widespread presence rate of type 2 diabetes (T2DM) in the U.S. is estimated to reach 44 million by 2034. Presently, nearly 25.8 million adults and children have diabetes, with T2DM being more prevalent in Latinos, African Americans, Asian Americans, Native Americans, other Pacific Islanders and Native Hawaiians (World Health Organization, 2016).